How much rates vary
Facilitymedian $32 · 10th to 90th $30 to $41Professionalmedian $34 · 10th to 90th $28 to $41
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $28.84 Median $31.62 Typical High $38.02 | Facility | None | $28.84 | $31.62 | $38.02 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $14.45 Median $15.14 Typical High $18.62 | Facility | 52 · Reduced service | $14.45 | $15.14 | $18.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $6.03 Typical High $7.41 | Facility | 53 · Discontinued | $5.75 | $6.03 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $40.74 | Professional | None | $28.84 | $32.36 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $15.14 Typical High $18.62 | Professional | 52 · Reduced service | $14.45 | $15.14 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.03 Typical High $7.59 | Professional | 53 · Discontinued | $5.75 | $6.03 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $38.90 | Professional | None | $26.92 | $26.92 | $38.90 |
AvMed Setting Facility Modifier None Typical Low $30.90 Median $38.90 Typical High $39.81 | Facility | None | $30.90 | $38.90 | $39.81 |
AvMed Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $39.81 | Professional | None | $28.84 | $36.31 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $144.54 | Facility | None | $58.88 | $58.88 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $38.90 Typical High $38.90 | Professional | None | $23.99 | $38.90 | $38.90 |
Florida Blue Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | None | $25.12 | $25.12 | $32.36 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $34.67 Typical High $46.77 | Professional | None | $25.70 | $34.67 | $46.77 |
United Setting Facility Modifier None Typical Low $524.81 Median $562.34 Typical High $562.34 | Facility | None | $524.81 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $47.86 | Professional | None | $32.36 | $36.31 | $47.86 |
Wellpoint Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $38.02 Median $39.81 Typical High $40.74 | Facility | AF · Specialist physician | $38.02 | $39.81 | $40.74 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $28.84 Median $30.90 Typical High $32.36 | Facility | HO · Master's level | $28.84 | $30.90 | $32.36 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $32.36 Median $33.88 Typical High $34.67 | Facility | TD · Registered nurse | $32.36 | $33.88 | $34.67 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $38.02 Median $39.81 Typical High $41.69 | Professional | AF · Specialist physician | $38.02 | $39.81 | $41.69 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $28.84 Median $30.90 Typical High $32.36 | Professional | HO · Master's level | $28.84 | $30.90 | $32.36 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $32.36 Median $33.88 Typical High $35.48 | Professional | TD · Registered nurse | $32.36 | $33.88 | $35.48 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 51 · Multiple procedures | $36.31 | $36.31 | $36.31 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $26.92 Median $30.90 Typical High $36.31 | Professional | 59 · Distinct service | $26.92 | $30.90 | $36.31 |
Where Florida sits
The same service costs 2.1 times more in North Dakota than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Florida· 39th of 51
$33.88
ND $54.95OH $26.30
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.